Provider Demographics
NPI:1811074446
Name:DR ROBERT S STRAUCH INC
Entity type:Organization
Organization Name:DR ROBERT S STRAUCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SALADE
Authorized Official - Last Name:STRAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-267-6119
Mailing Address - Street 1:PO BOX 1967
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25402
Mailing Address - Country:US
Mailing Address - Phone:304-267-6119
Mailing Address - Fax:304-264-9105
Practice Address - Street 1:2000 PROFESSIONAL COURT
Practice Address - Street 2:SUITE A
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401
Practice Address - Country:US
Practice Address - Phone:304-267-6119
Practice Address - Fax:304-264-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810011218Medicaid
WV3810011218Medicaid
WVDR0437533Medicare PIN